Friday, November 15, 2013

Geezerhood Can Suck

[Note:  This is another blog in my Geezerhood series.  Younger readers or those still in denial might just bookmark this for future reading and go do something more fun, like doing a SnapChat or Tweeting something. Also, please be advised that the content below might be regarded as "TMI" or "over-sharing"].

I've written several times about my journey through Geezerhood, often putting the emphasis on the positive aspects of getting older (see list of blogs below).  In the spirit of being "Fair and Balanced" (choke) it may be time to talk about some of the more sucky parts of Geezerhood I've encountered recently.

I realize that my recent conditions pale in comparison to those of other people out there and I sincerely apologize for making my difficulties seem so bad.  But my problems are severe enough to make me much more sympathetic for the plight of those who are worse off and to make me admire them for their ability to face their situation and continue their lives with grace and good humor.

Up to this point I've been fairly healthy -- maybe three overnight hospital stays in my entire lifetime, no significant surgeries, ZERO prescription meds on a daily continuing basis.  Not to say there are no issues at all -- family history of glaucoma so I've been monitoring my status often, pre-hypertensive (I take my pressure at home regularly), medium high cholesterol buffered by very high HDL (the good kind of cholesterol), a few pre-cancerous lesions on my forehead, treated and monitored regularly, and of course a slightly enlarged prostate, common in men of my age but being monitored.  Oh, and an irritating susceptibility to bruising on my arms and hands attributed by my dermatologist to years of unprotected sun exposure.  She also blaims the sun for those "age spots" on my hands -- embarrassing reminders of my passage into Geezerhood, but not life-threatening. All in all, not too bad for a 69-year-old.

Then, about a month ago, I began to disintegrate.

In very short order my blood pressure went up by 10 points, I had a retinal hemorrhage in my right eye, and not long after that I had a dandy case of shingles, an affliction that has led me to reset my "worst pain you've ever experienced" index.  I went from zero prescription meds to three, all of which have potential side effects and interactions, and from visits to doctors maybe once or twice per year to once or twice a week. 

One of the most disturbing things about all this is that the appearance of the problems was so unexpected and unpredicted.  For example, the glaucoma risk had nothing to do with the retinal hemorrhage, though the spike in blood pressure might.  Of course the rise in pressure is a puzzle that so far none of my platoon of medical experts can explain.  Shingles can occur in anyone who has had chickenpox, and though the risk increases with age, it can strike young whipersnappers as well.  By age 80, 50% of the population will get shingles. Having the shot (which I did) only cuts your chances by about 40-50%, though in my case it lulled me into complacency and a false sense of invulnerability. The trigger is uncertain, though some research suggests high stress (which I don't have) or a compromised immune system (which I don't have) may be causes.

Another disturbing aspect is the feeling that I've been sucked into a giant medical-industrial complex that seems designed not to let me go.  I've seen a half-dozen doctors, all of whom make me fill out the same forms over again, then perform the same tests the others have performed shortly before, apparently not trusting their colleagues or not liking the exact way the tests were performed.  They then have prescribed medications that have possible side effects that have a good chance of limiting my fairly active life-style, leading to other kinds of problems. And of course they all want me to come back in the near future to do the same tests over again.

The drug side effects are potentially very problematic and it is troubling to me that my doctors, while aware of the effects, are so focused on treating my symptoms that they don't fully appreciate the impact on my quality of life, i.e. , their impact on me as a person.  Here are a few of the possible side-effects from the drugs they have selected for me:

  • Drug A (Eye Drops): Eye discomfort/itching/redness, blurred vision, dizziness, dry mouth, drowsiness, or tiredness (my emphasis).
  • Drug B (Blood Pressure):  Dizziness or lightheadedness may occur ...
  • Drug C (Shingles pain):  Drowsiness, dizziness, loss of coordination, tiredness, blurred/double vision, unusual eye movements, or shaking (tremor) may occur.
Note, these are possible side effects, not things that invariably occur.  Each drug's highlighted side effects has a fairly small (but known) probability of effecting any one person.  But when all three drugs are being taken at the same time, the probability that at least one of them will produce the side effects is much greater.  And guess what -- I feel tired, dizzy and clumsy. Of course which drug(s) is (are) causing these problems isn't clear because I started taking all three at the same time. Oh, and I checked online and found that these three drugs have the least severe side effects of those available for my conditions.

So the good news is that I'm receiving treatment for my retinal hemorrhage, my Shingles pain, and my blood pressure.  The bad news is that my fairly active lifestyle (hiking, working out in our pool, aerobic exercise of various types), is possibly extinct.  For the potential negative consequences of this, see my blog How to Compress Your Morbidity.

All in all I've been pretty bummed out by the whole thing.  The physical problems are themselves rather hard to deal with, but so is the treatment.  And I feel somehow cheated that my attention to diet, exercise, and precautionary actions wasn't enough to avoid these problems. I was being such a good boy, why did this happen to me?!!  The unsettling answer is, of course, "who the h*** knows?"

After lots of careful analysis, research, and intellectually rigorous consideration of the various probabilities and alternative scenarios I've come to a conclusion. My advice to myself is "GET A GRIP!"

Ok, I've got some problems that pose challenges -- this is part of living. And dying. There will be more challenges ahead, no doubt, and they may occur just as unexpectedly.  Geezerhood will end someday no matter what I do.  But I can control my mental state as it approaches, or if my mind deteriorates to the point where that isn't possible, I can still control it until my sense of self dissolves. I can choose a positive or negative path through Geezerhood.

It's up to me.
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Related Blogs on Geezerhood:

Embracing Your Inner Geezer
How to Compress Your Morbidity
The Power of Negative Thinking
Thoughts for a New Year
So, What Do You Do All Day?
Jogging the Memory of a Geezer
Decision Making In Geezerhood
Don't Go To Your 50th High School Reunion!
Taste Buds Are Wasted On The Young!